Lyme disease test cost in Orlando, FL
In Orlando-Kissimmee-Sanford, FL, 13 hospitals list a cash price for Lyme disease antibody test: from $11.23 to $127.00, with a median of $15.50. The lowest listed price is at Orlando Health Central and 3 other hospitals — $4.27 less than the median here. Across Florida, the median is $24.96 at 162 hospitals.
- The median here, $15.50, is 78% below the US median of $70.40.
- That is 0.9× Medicare's 2026 national rate for the same service ($17.03).
- Orlando, FL ranks 2nd of 4 metro areas in Florida by median, cheapest first.
- 7 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 13 facilities across 8 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Sep 1, 2026.
Lowest$11.23Orlando Health Central + 3 more
Median$15.50half of hospitals charge less
Highest$127.00in this market
Difference11.3×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Orlando-Kissimmee-Sanford, FL.
median
Lowest $11.23Highest $285.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Orlando Health Central lowest Ocoee, FL · (407) 296-1000 Hb Lyme Disease Serology,Ser-Ref File of Apr 1, 2026 · source file | $11.23 | $28.08 | — | 60% |
| Orlando Health lowest Orlando, FL · (321) 841-5111 Hb Lyme Disease Serology,Ser-Ref File of Apr 1, 2026 · source file | $11.23 | $28.08 | — | 60% |
| South Lake Hospital lowest Clermont, FL · (352) 394-4071 Hb Lyme Disease Serology,Ser-Ref File of Apr 1, 2026 · source file | $11.23 | $28.08 | — | 60% |
| Orlando Health St Cloud Hospital lowest Saint Cloud, FL · (407) 892-2135 Hb Lyme Disease Serology,Ser-Ref File of Apr 1, 2026 · source file | $11.23 | $28.08 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Lyme Ab, Modified 2-Tier, Eia, S-Ref File of Apr 1, 2026 · source file | $12.00 | $30.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Lyme Ab, Modified 2-Tier, Eia, S-Ref File of Apr 1, 2026 · source file | $12.00 | $30.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Lyme Ab, Modified 2-Tier, Eia, S-Ref File of Apr 1, 2026 · source file | $12.00 | $30.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Lyme Ab, Modified 2-Tier, Eia, S-Ref File of Apr 1, 2026 · source file | $12.00 | $30.00 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Lyme Cns Infection Igg Rflx-Ref File of Apr 1, 2026 · source file | $12.54 | $31.34 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Lyme Cns Infection Igg Rflx-Ref File of Apr 1, 2026 · source file | $12.54 | $31.34 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Lyme Cns Infection Igg Rflx-Ref File of Apr 1, 2026 · source file | $12.54 | $31.34 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Lyme Cns Infection Igg Rflx-Ref File of Apr 1, 2026 · source file | $12.54 | $31.34 | — | 60% |
| AdventHealth Waterman Tavares, FL · (352) 253-3368 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP File of Apr 1, 2026 · source file | $15.24 | $15.24 | — | — |
| Ucf Lake Nona Hospital Orlando, FL · (850) 523-2115 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $15.44 | $15.44 | $1.11–$13.90 | — |
| HCA Florida Osceola Hospital Orlando, FL · (407) 846-2266 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $15.50 | $15.50 | $1.12–$15.50 | — |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $22.34 | $22.34 | $1.61–$11.17 | — |
| HCA Florida Osceola Hospital Orlando, FL · (407) 846-2266 LYME DISEASE AB IGG QL+1 more line at this price File of Sep 1, 2026 · source file | $24.80 | $24.80 | $1.79–$24.80 | — |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Lyme Disease Antibody, Csf-Ref File of Apr 1, 2026 · source file | $32.40 | $81.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Lyme Disease Antibody, Csf-Ref File of Apr 1, 2026 · source file | $32.40 | $81.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Lyme Disease Antibody, Csf-Ref File of Apr 1, 2026 · source file | $32.40 | $81.00 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Lyme Disease Antibody, Csf-Ref File of Apr 1, 2026 · source file | $32.40 | $81.00 | — | 60% |
| The Villages Regional Hospital The Villages, FL · (352) 751-8000 UF HB LYME IGG IGM CSF+1 more line at this price File of Mar 31, 2026 · source file | $64.35 | $117.00 | $52.65–$97.11 | 45% |
| UF Health Leesburg Hospital Leesburg, FL · (352) 323-5762 HB LYME DISEASE ANTIBODY+1 more line at this price File of Mar 31, 2026 · source file | $64.35 | $117.00 | $5.51–$18.73 | 45% |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 LYME DISEASE AB IGG QL+1 more line at this price File of Sep 1, 2026 · source file | $78.86 | $78.86 | $5.68–$39.43 | — |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 LYME DISEASE AB IGM QL+1 more line at this price File of Sep 1, 2026 · source file | $82.50 | $82.50 | $5.94–$74.25 | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT File of Apr 1, 2026 · source file | $88.00 | $88.00 | — | — |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Lyme Disease Serology, S-(Ticks)-Exc File of Apr 1, 2026 · source file | $93.60 | $234.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Lyme Disease Serology, S-(Ticks)-Exc File of Apr 1, 2026 · source file | $93.60 | $234.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Lyme Disease Serology, S-(Ticks)-Exc File of Apr 1, 2026 · source file | $93.60 | $234.00 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Lyme Disease Serology, S-(Ticks)-Exc File of Apr 1, 2026 · source file | $93.60 | $234.00 | — | 60% |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Lyme Disease Serology Spinal Fluid+1 more line at this price File of Mar 10, 2026 · source file | $127.00 | $127.00 | — | — |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Lyme Disease Antibody-(Lnbai)-Exc File of Apr 1, 2026 · source file | $136.80 | $342.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Lyme Disease Antibody-(Lnbai)-Exc File of Apr 1, 2026 · source file | $136.80 | $342.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Lyme Disease Antibody-(Lnbai)-Exc File of Apr 1, 2026 · source file | $136.80 | $342.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Lyme Disease Antibody-(Lnbai)-Exc File of Apr 1, 2026 · source file | $136.80 | $342.00 | — | 60% |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $152.25 | $152.25 | $10.96–$137.03 | — |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Lyme C6 Antibody+1 more line at this price File of Mar 10, 2026 · source file | $213.00 | $213.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP File of Apr 1, 2026 · source file | $244.00 | $244.00 | — | — |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Tick-Borne Disease Antibodies Serum Component 1+1 more line at this price File of Mar 10, 2026 · source file | $285.00 | $285.00 | — | — |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $11.23, median $15.50, highest $127.00 — a 11.3× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $11.23. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 1 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.